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General NPI Number Information
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NPI Number | 1497890511
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Entity Type | Individual
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Provider Name | GAIL L. TAYLOR L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 217 SUPPIGER LN
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City | HIGHLAND
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State | IL
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Zip | 62249-1132
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Country | US
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Telephone | 618-654-5990
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Fax | 636-391-6773
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Provider Business Mailing Address
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Address Line | 17 FINLAY FLDS
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City | MANCHESTER
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State | MO
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Zip | 63021-6757
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Country | US
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Telephone | 636-391-6773
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Fax | 636-391-6773
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2003032158
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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